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General NPI Number Information
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NPI Number | 1740648161
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH CONSULTING SERVICES LMSW, PLLC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 19 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 180-033-4159
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Fax | 180-033-4159
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Provider Business Mailing Address
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Address Line | 19 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 180-033-4159
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Fax | 180-033-4159
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Authorized Official
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Title or Position | CEO/CLINICIAN
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Name | MS. ASHANDA TARRY
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Credential |
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Telephone | 18003341599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 072103
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License Number State | NY
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